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CME0420 Ehlers-Danlos video

Video Author: Erin Miller, PA-C; John M. Grosel, MD
Published on: 03.26.2020
Associated with: April 2020, Volume 33, Issue 4;

A patient with Ehlers-Danlos syndrome, a connective tissue disorder characterized by tissue fragility, joint hypermobility, and skin hyperextensibility, demonstrates the ability to externally rotate her arm 360 degrees while keeping her shoulder in a neutral position.

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Creator: Erin Miller, PA-C; John M. Grosel, MD
Duration: 00:06
A patient with Ehlers-Danlos syndrome, a connective tissue disorder characterized by tissue fragility, joint hypermobility, and skin hyperextensibility, demonstrates the ability to externally rotate her arm 360 degrees while keeping her shoulder in a neutral position.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
A vegetation on the right coronary cusp of the aortic valve is the likely cause of the patient’s mild to moderate eccentric aortic regurgitation.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
The patient’s aortic and pulmonary vegetations may have been caused by bacteremia secondary to removal of a rectal polyp.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Absent lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
RV dilation
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Normal right leg, common femoral artery and veinleg, common femoral artery and vein
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Pericardial effusion
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Cardiac tamponade
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Hyperdynamic LV function
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Small IVC
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Lung consolidation
Creator: Leonid Skorin, Jr., DO, OD, MS; Colleen B. Grassley, MPAS, PA-C
Duration: 1:06
Obtaining a section of the temporal artery for biopsy to rule out temporal arteritis.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:15
Healthy kidney
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:11
Mild hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:14
Moderate hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
Severe hydronephrosis
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Renal calculus (white arrow) with acoustic shadowing (dashed arrow)
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
PLAX view of EPSS in a normal heart



Creator: Erin Miller, PA-C; John M. Grosel, MD
Duration: 00:06
A patient with Ehlers-Danlos syndrome, a connective tissue disorder characterized by tissue fragility, joint hypermobility, and skin hyperextensibility, demonstrates the ability to externally rotate her arm 360 degrees while keeping her shoulder in a neutral position.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
A vegetation on the right coronary cusp of the aortic valve is the likely cause of the patient’s mild to moderate eccentric aortic regurgitation.
Creator: Pooja S. Jagadish, MD; Tamunoinemi Bob-Manuel, MD; Taylor Simmons; Hemnishil K. Marella, MD; Jayna Kelly, MD; Uzoma N. Ibebuogu, MD, FACC
Duration: 0:02
The patient’s aortic and pulmonary vegetations may have been caused by bacteremia secondary to removal of a rectal polyp.
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:07
Absent lung sliding
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Pericardial effusion
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Small IVC
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
PLAX view of EPSS in a normal heart
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:04
Small IVC with significant inspiratory collapse, indicating intravascular volume depletion
Creator: Mayo Foundation for Medical Education and Research
Duration: 0:06
The “shred sign” is another indication of lung consolidation.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:01
Anechoic fluid in the renal pelvis, sometimes called a “bear paw” sign, supports the finding of moderate hydronephrosis.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:03
B lines are pleural-based, vertical, hyperechoic white lines that look like comet tails, extend from the pleural line, move in concert with lung sliding, and obliterate A line patterns.
Creator: Frederick Fuller, PA-C, MPH&TH
Duration: 0:06
Compressing this irregular mixed echogenic fluid collection with the ultrasound probe produces the swirl sign, which represents purulent material swirling under pressure. However, the exact nature of the fluid cannot be determined by ultrasound alone.
Creator: AAPA
Duration: 3:10
JAAPA editorial board member Zachary Hartsell, MPAS, PA-C, DFAAPA, who is also AAPA’s liaison to the Society of Hospital Medicine, speaks about the growing role for PAs in hospital medicine.